Feasibility of foot deformations corrective operations performing in patients with diabetes

Authors

  • S. D. Shapoval “Zaporizhzhia Medical Academy of Post-Graduate Education of Health Ministry of Ukraine”,
  • I. L. Savon “Zaporizhzhia Medical Academy of Post-Graduate Education of Health Ministry of Ukraine”,
  • O. V. Tribushnoy “Zaporizhzhia Medical Academy of Post-Graduate Education of Health Ministry of Ukraine”,
  • V. O. Byelinska “Zaporizhzhia Medical Academy of Post-Graduate Education of Health Ministry of Ukraine”,
  • O. O. Maksimovа “Zaporizhzhia Medical Academy of Post-Graduate Education of Health Ministry of Ukraine”,

DOI:

https://doi.org/10.14739/2310-1210.2017.4.104958

Keywords:

diabetic foot, surgery, treatment outcome

Abstract

Objective: To improve methods of early diagnosis of diabetic neuropathy and suggest options for surgical prophylaxis possible purulent and necrotic complications in patients with diabetic foot syndrome.

Materials and Methods. The study involved 64 patients with complicated diabetic foot syndrome (DFS). The average age of patients - 61,9 ± 3,8 years, duration of diabetes - 11,47 ± 3,2 years. The patients had neuropathic and mixed forms of DFS, fingers or arched foot deformations with the presence of pressor venous trophic ulcers in the forefoot. Patients were randomized into two groups: the main group - 34 and comparison group - 30 patients. There were representative characteristics for all groups: age, sex, comorbidity and did not differ significantly (P> 0,05). There were no statistically significant difference between the groups of these data (χ2 = 0,05; P = 0,8195).

Results. After 6 months of complex treatment the ulcers were healed in more than half of patients in both groups - 19 (63,3%) of patients in the comparison group and 25 (73,5%) of the main group. In 8 (26,7%) patients in the comparison and 7 (20,6%) of the main group positive dynamics was observed, but over a longer period of treatment .

After 12 months, the number of patients whose ulcers were completely healed differed significantly by the main group (P = 0,0007; χ2 = 11,41). Also in the main group was only 1 (3,0%) patient with ulcer that was not healed, in contrast to the comparison group - 7 (23,3%) patients (P = 0,0373; χ2 = 4,34).

Conclusions. Operations aimed at correction of fingers and feet deformations in combination with standard therapy and unloading of the lower limb, allow improving the results of patients with complicated DFS treatment by reducing the number of relapses.

References

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How to Cite

1.
Shapoval SD, Savon IL, Tribushnoy OV, Byelinska VO, Maksimovа OO. Feasibility of foot deformations corrective operations performing in patients with diabetes. Zaporozhye medical journal [Internet]. 2017Jul.3 [cited 2024Apr.20];(4). Available from: http://zmj.zsmu.edu.ua/article/view/104958

Issue

No. 4 (2017)

Section

Original research

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